- AIG (Atlanta, GA)
- Join us as a Complex Federal Workers Compensation Claims Examiner to take on key responsibilities within a world -class claims function. Make your mark ... impact + Provide technical expertise in directing and resolving Federal Workers' Compensation claims in accordance with...Experience in handling DBA negotiations, mediation, on higher value complex claims . + Policy language skills enabling… more
- Humana (Atlanta, GA)
- …understand how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to ... of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations… more
- Waystar (Atlanta, GA)
- **ABOUT THIS POSITION** This role reports to a Director , Product Management and work closely with User Experience team and Technology teams. The Product Manager will ... comfortable in front of a whiteboard and can describe complex information in a concise but thorough fashion +...identity or expression, or any other characteristic protected by federal , state, or local laws. This applies to all… more
- Humana (Atlanta, GA)
- … relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex issues where ... operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex...IN, OH, KY, WI** + No current sanction from Federal or State Governmental organizations, and able to pass… more
- Humana (Atlanta, GA)
- … relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex issues where ... or data requires an in-depth evaluation of variable factors. The Medical Director provides medical interpretation and decisions about the appropriateness of services… more
- Humana (Atlanta, GA)
- …relies on medical background and reviews preauthorization requests for services. The Medical Director work assignments involve moderately complex to complex ... or data requires an in-depth evaluation of variable factors. The Medical Director for the National Medicare Outpatient Team provides medical interpretation and… more
- Elevance Health (Atlanta, GA)
- …determined to recover, eliminate and prevent unnecessary medical-expense spending. The ** Director of Product for Payment Integrity Solutions** plays a pivotal role ... in leading the strategic development and management of a complex suite of solutions within Carelon's Payment Integrity Product...savings by identifying anomalies, fraud, waste, and errors. The Director will lead a team of diverse product managers… more
- The Cigna Group (Atlanta, GA)
- **LOCATION:** **Must live in Atlanta, GA area** The ** Director , Provider Contracting** serves as an integral member of the Provider Contracting Team and reports to ... for a local given territory. **DUTIES AND RESPONSIBILITIES** + Manages complex contracting and negotiations for fee for service and value-based reimbursements… more
- Humana (Atlanta, GA)
- …our caring community and help us put health first** The Associate Director , Encounter Data Management develops business processes to ensure successful submission and ... submission processes. Decisions are typically related to identifying and resolving complex technical and operational problems within department(s), and could lead… more
- Wabtec Corporation (Atlanta, GA)
- …within the transportation or heavy manufacturing industry. + Strong knowledge of federal and state EHS and product laws and regulations; broad-based experience ... oral and written communication skills. + Ability to communicate complex legal and technical issues to executives and non-legal...third parties relating to product regulatory issues, including potential claims against the company or claims by… more